A patient with type 1 diabetes mellitus is maintained on insulin. The patient has decided to participate in a sports tournament at work. Which information would the nurse provide regarding diet and insulin?
1. "Do not take your insulin the morning of a game."
2. "Plan on eating a big meal after your game."
3. "Take an oral hypoglycemic agent on game days rather than insulin."
4. "Eat something before the game and drink a sports drink during the game."
4
Rationale 1: The patient should not skip insulin.
Rationale 2: Glucose demands will be during the game.
Rationale 3: Oral hypoglycemics are not used to treat patients with type 1 diabetes mellitus.
Rationale 4: The best plan is for the patient to eat something just before exercise and then to consume a sports drink during the game.
Global Rationale: The best plan is for the patient to eat something just before exercise and then to consume a sports drink during the game. The patient should not skip insulin. Glucose demands will be during the game. Oral hypoglycemics are not used to treat patients with type 1 diabetes mellitus.
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